Organization
LIFETIME VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRI JO SANDBERG OD (OPTOMETRIST)
(541) 382-3242
Entity
Organization
Contact information
Practice address
901 NW CARLON AVE, SUITE 2, BEND, OR 97703-2636
(541) 382-3242
(541) 317-3579
Mailing address
901 NW CARLON AVE, SUITE 2, BEND, OR 97703-2636
(541) 382-3242
(541) 317-3579
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
07/15/2015
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